Long, Telisa

Long, Telisa is an sole proprietor health care provider with primary practice located at 413 Indianwood Blvd , Park Forest IL 60466-2247. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Long, Telisa can be contacted via phone (708) 369-2368.

Contact Information

Primary practice address
413 Indianwood Blvd Park Forest IL 60466-2247
Phone: (708) 369-2368
Fax: (708) 747-5980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X L52081680690 Illinois

Profile Details

NPI number 1285866111
LBN Legal business name Long, Telisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Aug 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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